Organization
YOUNG J. KO, MD A MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOUNG J KO M.D. (CEO)
(661) 945-0724
Entity
Organization
Contact information
Practice address
44215 15TH ST W STE 303, LANCASTER, CA 93534-5505
(661) 945-0723
(661) 949-5740
Mailing address
44215 15TH ST W STE 303, LANCASTER, CA 93534-5505
(661) 945-0723
(661) 949-5740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A39814
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A39814
CA
207RP1001X
Pulmonary Disease Physician
Primary
A39814
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A398140
—
CA
Enumeration date
04/12/2007
Last updated
04/20/2011
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